DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fullerton-Clark, Terri	DOIID	1300631	NAIC NPN	7008578

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	9/24/2023		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/12/2024	9/17/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/12/2024	9/17/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/12/2024	9/17/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/19/2024	4/7/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/19/2024	4/7/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/9/2023	6/11/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/21/2024	11/26/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/19/2024	4/7/2025
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/5/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2023	6/11/2024
Inactive	Humana Insurance Company	301104	Agent - Health	8/5/2024	2/27/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/12/2024	9/17/2024
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	5/21/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/21/2024	11/26/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/3/2024	1/30/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/3/2024	1/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	5/24/2024	9/24/2024
Inactive	Trubridge Inc	717747	Agent - Health	1/22/2024	12/6/2024